42 CFR Subpart R
Provider Reimbursement Determinations and Appeals
June 11, 2020
§
405.1801
Introduction
§
405.1803
Contractor determination and notice of amount of program reimbursement
§
405.1804
Matters not subject to administrative and judicial review under prospective payment
§
405.1805
Parties to contractor determination
§
405.1807
Effect of contractor determination
§
405.1809
Contractor hearing procedures
§
405.1811
Right to contractor hearing; contents of, and adding issues to, hearing request
§
405.1813
Good cause extension of time limit for requesting a contractor hearing
§
405.1814
Contractor hearing officer jurisdiction
§
405.1815
Parties to proceedings before the contractor hearing officer(s)
§
405.1817
Hearing officer or panel of hearing officers authorized to conduct contractor hearing; disqualification of officers
§
405.1819
Conduct of contractor hearing
§
405.1821
Prehearing discovery and other proceedings prior to the contractor hearing
§
405.1823
Evidence at contractor hearing
§
405.1825
Witnesses at contractor hearing
§
405.1827
Record of proceedings before the contractor hearing officer(s)
§
405.1829
Scope of authority of contractor hearing officer(s)
§
405.1831
Contractor hearing decision
§
405.1832
Contractor hearing officer review of compliance with the substantive reimbursement requirement of an appropriate cost report claim
§
405.1833
Effect of contractor hearing decision
§
405.1834
CMS reviewing official procedure
§
405.1835
Right to Board hearing; contents of, and adding issues to, hearing request
§
405.1836
Good cause extension of time limit for requesting a Board hearing
§
405.1837
Group appeals
§
405.1839
Amount in controversy
§
405.1840
Board jurisdiction
§
405.1842
Expedited judicial review
§
405.1887
Notice of reopening; effect of reopening
§
405.1843
Parties to proceedings in a Board appeal
§
405.1845
Composition of Board; hearings, decisions, and remands
§
405.1847
Disqualification of Board members
§
405.1849
Establishment of time and place of hearing by the Board
§
405.1851
Conduct of Board hearing
§
405.1853
Board proceedings prior to any hearing; discovery
§
405.1855
Evidence at Board hearing
§
405.1857
Subpoenas
§
405.1859
Witnesses
§
405.1861
Oral argument and written allegations
§
405.1863
Administrative policy at issue
§
405.1865
Record of administrative proceedings
§
405.1867
Scope of Board's legal authority
§
405.1868
Board actions in response to failure to follow Board rules
§
405.1869
Scope of Board's authority in a hearing decision
§
405.1871
Board hearing decision
§
405.1873
Board review of compliance with the reimbursement requirement of an appropriate cost report claim
§
405.1875
Administrator review
§
405.1877
Judicial review
§
405.1881
Appointment of representative
§
405.1883
Authority of representative
§
405.1885
Reopening a contractor determination or reviewing entity decision
§
405.1889
Effect of a revision; issue-specific nature of appeals of revised determinations and decisions
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